Individual provider Active NPI

Kate Ure Urum

  • Family Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1609460799
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
138494 Issued in GA
Practice address
1305 Hembree Rd Ste 203
Roswell, GA 30076-3810
Phone
(470) 485-6342
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 138494 GA Primary

Addresses

Primary practice location

1305 Hembree Rd Ste 203
Roswell, GA 30076-3810

Mailing address

1305 Hembree Rd Ste 203
Roswell, GA 30076-3810
Phone (470) 485-6342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220215002249 GA Practitioner - Nurse Practitioner 3274926233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spatium Urgent Care LLCGroup PAC ID 5294141941, 3 clinicians

Practice addresses (Care Compare)

3595 Canton Rd
Suite 316
Marietta, GA 30066-2693
Phone (678) 932-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
138494GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Primary Care CurrentSince Jun 4, 2025 Accepting new patients
Spatium Urgent Care LLC CurrentSince Jul 29, 2024 Accepting new patients

Locations

3595 Canton Rd
Ste 316
Marietta, GA 30066
Phone (678) 932-2121

3595 Canton Rd
Ste 314
Marietta, GA 30066
Phone (678) 932-2121

Interoperability endpoints

  • Direct secure messaging: kurum11266@directwellstar.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1609460799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HEMBREE RD STE 203",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763810",
            "telephone_number": "470-485-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HEMBREE RD STE 203",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763810",
            "telephone_number": "470-485-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URUM",
        "first_name": "KATE",
        "middle_name": "URE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "138494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.